Individual
HALEY KIELBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2855 DENBIGH BLVD, GRAFTON, VA 23692-6501
(757) 968-5700
(757) 968-5717
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008728
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/07/2022
Last updated
09/07/2022
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